Protocol for evaluating and implementing a pragmatic value-based healthcare management model for patients with inflammatory arthritis: A Danish population-based regional cohort and qualitative implementation study

Research output: Contribution to journalArticle


Introduction The provision of healthcare for patients with inflammatory arthritis occurs in the context of somewhat conflicting targets, values and drivers. Therefore, there is a need for introducing 'value-based healthcare' defined as the value of patient relevant health outcomes in relation to costs. This term is a central part of tomorrow's healthcare sector, especially for rheumatic diseases, yet the transition is a huge challenge, as it will impact the development, delivery and assessment of healthcare. Aims The aim of this study is to compare medical and patient evaluated impact of the traditional settlement and financing production (DAGS) controlled healthcare setting with a value-based and patient-centred adjunctive to standard care. Methods and analysis Patients with inflammatory arthritis receiving treatment in routine care at the outpatient clinics in the Capital Region of Denmark will prospectively and consecutively be enrolled in a Non-Intervention-Study framework providing a pragmatic value-based management model. A Danish reference cohort, used for comparison will be collected as part of routine clinical care. The enrolment period will be from 1 June 2018 until 31December 2023. Baseline and follow-up visits will be according to routine clinical care. Registry data will be obtained directly from patients and include personal, clinical and outcomes information. The study results will be reported in accordance with the STROBE statement. Ethics and dissemination The study has been notified to the Danish Data Protection Agency and granted authorisation for the period June 2018 to January 2025 (pending). Informed consent will be obtained from all patients before enrolment in the study. The study is approved by the ethics committee, Capital Region of Denmark (H-18013158). Results of the study will be disseminated through publication in international peer-reviewed journals.


  • Tanja Schjødt Jørgensen
  • Jens Jørgen Lykkegaard
  • Annette Hansen
  • Heidi Morsø Schrøder
  • Betina Stampe
  • Anne Marie Tetsche Sweeney
  • Bente Appel Esbensen
  • Bianca Bech
  • Katja Christensen
  • Ellen Friis-Mikkelsen
  • Henrik Røgind
  • Tine Lundbak
  • Peter C. Taylor
  • Ingemar F. Petersson
  • Eva Ejlersen Wæhrens
  • Jakob Kjellberg
  • Henrik Gudbergsen
  • Lars Erik Kristensen
External organisations
  • Copenhagen University Hospital
  • University of Copenhagen
  • University of Oxford
  • Danish Institute for Local and Regional Government Research (KORA)
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Rheumatology and Autoimmunity
  • Health Care Service and Management, Health Policy and Services and Health Economy


  • health care management model, inflammatory arthritis, patient centred value, value-based health care
Original languageEnglish
Article numbere023915
JournalBMJ Open
Issue number10
Publication statusPublished - 2018
Publication categoryResearch